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Wiki 01992??

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Helen3

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Baltimore , MD
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Anyone getting reimbursed by medicare for this pain management code? If so did you use a modifier? Is it considered post op pain manangement? Please advise
 
You should be getting paid for this code. It is billed with the appropriate anesthesia modifiers and time. Check your local medical review policies. It requires a valid medical necessity diagnosis code per the policy to be payable. This code is used for anesthesia provided while another medical practitioner performs the block or injection.
 
01992

My opinion ~ Appeal this - send the anesthesia record which indicates the patient is in the prone position for proper reimbursement.
Thanks,
Dana Chock, CPC,CCA, CPMA, CHONC, CPMA, CPB
 
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